Reconstruction of the Deltoid and Acromion after Failed Acromionectomy

Jeon, In-Ho; Koorevaar, Rinco C.T.; Neumann, Lars; Wallace, W. Angus

doi:10.1097/01.blo.0000146535.77776.5f

Cited by 8 publications

(16 citation statements)

References 15 publications

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“…These results compare favorably with results from similar studies [1,8]. In one study, 10 patients were treated with autogenous tricortical iliac graft and deltoid reconstruction.…”

Section: Discussionsupporting

confidence: 78%

“…In addition to acromionectomy and deltoid insufficiency, one patient had a chronic massive rotator cuff tear requiring a latissimus dorsi-deltoid reconstruction, and another had symptoms of residual impingement before surgery. These patients compare well with others studied after deltoid disruption [3,8,9,12]. Two of four patients included in this study are permanently disabled as a result of their shoulder impairment.…”

Section: Discussionmentioning

confidence: 75%

“…The mean preoperative ASES score was 31 (range, 15-53). The mean preoperative pain score was 8 on a visual analog scale of 0 to 10 (range, [3][4][5][6][7][8][9][10]. The mean preoperative forward elevation, abduction, and external rotation were 61°, 70°, and 25°, respectively.…”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, deltoid insufficiency after iatrogenic or traumatic acromionectomy often has catastrophic consequences for shoulder function; reconstructive procedures for deltoid insufficiency and acromionectomy are seldom described in the literature [1,8,9,12].…”

Section: Introductionmentioning

confidence: 99%

“…The need for reconstruction of the deltoid origin thus was suggested. Acromion reconstruction using bone graft has since yielded promising results [1,8].…”

Section: Introductionmentioning

confidence: 99%

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Acromionectomy and Deltoid Deficiency: A Solution

Forsythe

Lavery

Warner

2009

Clinical Orthopaedics &Amp; Related Research

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Deltoid insufficiency after iatrogenic or traumatic acromionectomy results from separation of the deltoid from its origin and mechanical fulcrum. Subsequent retraction of the tendon and formation of subdeltoid adhesions to the cuff and humerus result in stiffness and pain. We evaluated clinical outcomes of patients treated with autogenous tricortical iliac crest bone graft combined with deltoid reconstruction or deltoidplasty for deltoid insufficiency after acromionectomy. We retrospectively reviewed four patients, three males, and one female treated with deltoidplasty reconstructions as revision surgery. Their mean age was 41 years, and the minimum followup was 41 months (mean, 50 months; range, 41-66 months). There were three work-related injuries. Outcomes evaluated were pain relief (visual analog score), American Shoulder and Elbow Surgeons score, cosmesis, and complications. The mean pain score improved from 8 (range, 3-10) preoperatively to 1 (range, 0-3) postoperatively. The

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“…These results compare favorably with results from similar studies [1,8]. In one study, 10 patients were treated with autogenous tricortical iliac graft and deltoid reconstruction.…”

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 75%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The need for reconstruction of the deltoid origin thus was suggested. Acromion reconstruction using bone graft has since yielded promising results [1,8].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Acromionectomy and Deltoid Deficiency: A Solution

Forsythe

Lavery

Warner

2009

Clinical Orthopaedics &Amp; Related Research

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Os Acromiale

Meleán

Vergara

2023

Orthopaedic Sports Medicine

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Rekonstruktion einer iatrogenen Akromionpseudarthrose

et al. 2010

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Acromial fractures are rare but severe complications which can occur during subacromial decompression. We report a case of acromial pseudarthrosis which was discovered belatedly due to persistent pain after several operations. The pseudarthrosis was successfully treated by osteosynthesis with a distal radius plate and implantation of a monocortical bone graft from the iliac crest. Two years after surgery, the fracture has healed and the patient's pain improved significantly. In the constant score the patient achieved postoperatively 58 points compared to 25 points before surgery and 65 points compared to 25 points preoperatively in the subjective shoulder rating system (SSRS). Postoperatively, the patient had a better range of motion with active abduction/adduction of 50/0/25º (30/0/20° preoperatively), outward rotation/inward rotation of 35/0/45º (30/0/30° preoperatively) and anteversion/retroversion of 60/0/35° (35/0/20° preoperatively).

show abstract

Reconstruction of the Deltoid and Acromion after Failed Acromionectomy

Cited by 8 publications

References 15 publications

Acromionectomy and Deltoid Deficiency: A Solution

Acromionectomy and Deltoid Deficiency: A Solution

Os Acromiale

Rekonstruktion einer iatrogenen Akromionpseudarthrose

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